Logo of Phnom Penh Post newspaper Phnom Penh Post - Newborn care still a concern

Newborn care still a concern

A mother holds her infant child as she waits to see a doctor outside Phnom Penh’s Kantha Bopha Children’s Hospital last year.
A mother holds her infant child as she waits to see a doctor outside Phnom Penh’s Kantha Bopha Children’s Hospital last year. Hong Menea

Newborn care still a concern

Although infant mortality rates have dropped dramatically over the past 15 years, a new report in the journal Healthcare has identified significant shortcomings in newborn care in Cambodia.

After interviewing mothers, caretakers and midwives in charge of delivering and caring for newborn babies in Takeo province, the study’s authors documented numerous cases where basic hygiene practises were neglected.

They also noted that many mothers lack adequate information about how to breastfeed, check their baby’s breathing and temperature, and identify common illnesses such as infection.

“The current study highlighted many gaps in practices in these areas that may impact on newborn survival, growth and development,” wrote the report’s authors.

As Cambodia worked to reduce the rates of maternal and infant mortality, delivery moved away from the home and into health care centres, the report’s authors noted.

According to UNICEF, Cambodia’s under-5 mortality rate fell from 124 to 35 in every 1,000 live births between 2000 and 2014. This was in large part due to the higher percentage of babies delivered by midwives in health centres.

Nevertheless, some parts of the country are “still lagging behind” due to poor-quality health services, UNICEF noted in a statement.

For example, the study found that newborns are often cleaned and dried with sarongs brought from home, and then wrapped in the same wet, dirty sarongs. Most facilities lacked clean linen for cleaning and drying newborns.

Many health centres were also missing waste receptacles and hand-washing stations, and waste receptacles were often dirty and overflowing when they were available. Latrines were equally dirty and lacked hand-washing facilities.

Meanwhile, many midwives reported a lack of clean medical gloves, and often used the same gloves throughout delivery and post-partum care. Areas where mothers slept were almost never cleaned by health centre staff, and sleeping mats and bed covers were reused.

Once at home, families from across the socio-economic spectrum lacked information about how to care for newborns, especially ones with special needs.

“I did not think there was any special care for smaller babies versus normal babies, I only just did whatever came to my mind to care for the baby,” said the father of one underweight baby.

Material from insect nests was often applied to babies’ umbilical cords until they fell off. “I advise [parents] not to put anything on the cord except for betadine … But other than that, I don’t really advise them on how to take care of the newborn,” said one 24-year-old midwife.

According to Abigail Beeson, a health specialist with Save the Children Cambodia, further education is needed so that community members understand the importance of a baby’s first days.

“Overall infant mortality rates have been dropping, but a majority of deaths still take place in the first three days of life,” Beeson said.

“The government has revised some policies that put a greater emphasis on post-natal care so that babies get adequate care in the first 28 days, but we still see a lack of understanding from community members about the importance of some of these.”

MOST VIEWED

  • Prince Norodom Ranariddh passes away at 77

    Prince Norodom Ranariddh, the second son of the late King Father Norodom Sihanouk and former First Prime Minister of Cambodia, has passed away in France at the age of 77. “Samdech Krom Preah Norodom Ranariddh has passed away this morning in France just after 9am Paris-time,”

  • Cambodia purchases 4 million Molnupiravir tablets

    Cambodia has arranged for the purchase of four million US-made Molnupiravir pills – enough to treat 100,000 Covid-19 patients – even though the current rate of daily infections in Cambodia remains low. The medicine will be distributed to state hospitals, pharmacies and private clinics, according to the Samdech

  • Rise in planned flights lifts travel hopes

    Six airlines have applied to resume flights in December, while two others have put in for additional flights and routes, according to State Secretariat of Civil Aviation (SSCA) head Mao Havannall on November 29. These account for 43 new weekly domestic and international flights in December, up 16

  • Is Cambodia’s travel sector in for another cheerless holiday season?

    The travel and tourism sector was heaving back to life as borders started to reopen, promising a festive vibe for the holidays and New Year. But Omicron and other Covid-related issues are threatening to close the year on a bleak note ‘Seems [like] Covid-19 won’

  • Cambodia planning new border checkpoint at Thma Da

    Cambodia is looking into the possibility of opening a new Thma Da Border Checkpoint with Thailand to boost trade and tourism. The Ministry of Public Works and Transport said on December 4 that Minister of Public Works and Transport Sun Chanthol led a technical working group

  • No more Africa travel ban but new rules for arrivals

    The Ministry of Health has decided to lift the ban on travellers from or who have travelled through 10 African countries and instead issued a set of standard operating procedures to manage passenger arrivals at Cambodia’s international airports. The 10 African countries are Botswana, Eswatini, Lesotho,